Medical 3D printing with a focus on Point-of-Care in Cranio- and Maxillofacial Surgery. A systematic review of literature

Murtezani, Ilirian; Sharma, Neha; Thieringer, Florian M.

doi:10.1016/j.stlm.2022.100059

Cited by 18 publications

(11 citation statements)

References 87 publications

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“…Although prior systematic reviews have described the applications and material qualities of commonly printed constructs, this study quantitatively evaluates the temporal and financial resource requirements associated with 3D printing for CMF surgery. [4][5][6][7]…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Printing for Craniomaxillofacial Surgery: A Systematic Review and Meta-analysis of Applications and Logistical Outcomes

Heron

Zhu

Yusuf

et al. 2023

FACE

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Introduction: Three-dimensional (3D) printing plays a rapidly expanding role in the field of craniomaxillofacial (CMF) surgery; however, the time and costs required to efficiently utilize this technology are highly variable. To better delineate the temporal and financial resources needed to establish an efficient workflow, we conducted a systematic review and meta-analysis of studies utilizing patient-directed 3D-printed constructs in the setting of CMF surgery. Methods: A systematic review was performed using PubMed, Web of Science, and Embase. In total, 1679 articles were screened and 45 met inclusion criteria. Primary outcomes included the costs of 3D-printed constructs and the time required for virtual surgical planning (VSP), 3D printing, surgery, and hospitalization. Results: The aggregated data assessed 751 patients, 738 surgeries, and 1136 3D-printed constructs. The most common surgical indication was post-neoplastic reconstruction (n = 304), and the most common surgical procedure was mandibular reconstruction (n = 287). Printed constructs were as follows: contour models (44.1%), guides (30.9%), implants (12.5%), splints (12.1%), and prostheses (0.5%). Printing was the longest contributor to the preoperative workflow, averaging 401.6 minutes, while VSP required, on average, only 98.6 minutes. There was no significant difference in VSP time between constructs printed in-house and those contracted from commercial vendors. However, constructs printed in-house were significantly cheaper than those procured from vendors, averaging $252.20 and $2735.50, respectively ( P < .001). Of articles reporting intraoperative time (n = 19), 78.9% reported significant reductions when using 3D-printed constructs. Conclusion: 3D printing, especially in-house workflows, may reduce costs and improve efficiency for CMF surgery.

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Section: Introductionmentioning

confidence: 99%

Three-Dimensional Printing for Craniomaxillofacial Surgery: A Systematic Review and Meta-analysis of Applications and Logistical Outcomes

Heron

Zhu

Yusuf

et al. 2023

FACE

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“…With the popularization of 3D-printing technology, more 3D-printed medical devices are being adopted at the point of care (PoC). The recent systematic review by Murtezani et al showed that 35% of studies were based on POC production methods while 12% were outsourced [ 26 ]. This has provided the timely production of devices suitable for specific clinical use.…”

Section: Current Developmentmentioning

confidence: 99%

Current Trends in the Reconstruction and Rehabilitation of Jaw following Ablative Surgery

Hakim

Melville

et al. 2022

Cancers

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The reconstruction and rehabilitation of jaws following ablative surgery have been transformed in recent years by the development of computer-assisted surgery and virtual surgical planning. In this narrative literature review, we aim to discuss the current state-of-the-art jaw reconstruction, and to preview the potential future developments. The application of patient-specific implants and the “jaw-in-a-day technique” have made the fast restoration of jaws’ function and aesthetics possible. The improved efficiency of primary reconstructive surgery allows for the rehabilitation of neurosensory function following ablative surgery. Currently, a great deal of research has been conducted on augmented/mixed reality, artificial intelligence, virtual surgical planning for soft tissue reconstruction, and the rehabilitation of the stomatognathic system. This will lead to an even more exciting future for the functional reconstruction and rehabilitation of the jaw following ablative surgery.

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“…In addition, biocompatible 3D printing materials have also made it possible to develop surgical instruments and devices, such as contouring templates, surgical guides, and implant sizing models. These medical devices are used in operating rooms to assist surgeons in performing complex surgeries with more precision [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Can Steam Sterilization Affect the Accuracy of Point-of-Care 3D Printed Polyetheretherketone (PEEK) Customized Cranial Implants? An Investigative Analysis

Sharma

Zubizarreta-Oteiza

Tourbier

et al. 2023

JCM

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Polyetheretherketone (PEEK) has become the biomaterial of choice for repairing craniofacial defects over time. Prospects for the point-of-care (POC) fabrication of PEEK customized implants have surfaced thanks to the developments in three-dimensional (3D) printing systems. Consequently, it has become essential to investigate the characteristics of these in-house fabricated implants so that they meet the necessary standards and eventually provide the intended clinical benefits. This study aimed to investigate the effects of the steam sterilization method on the dimensional accuracy of POC 3D-printed PEEK customized cranial implants. The objective was to assess the influence of standard sterilization procedures on material extrusion-based 3D-printed PEEK customized implants with non-destructive material testing. Fifteen PEEK customized cranial implants were fabricated using an in-house material extrusion-based 3D printer. After fabrication, the cranial implants were digitalized with a professional-grade optical scanner before and after sterilization. The dimensional changes for the 3D-printed PEEK cranial implants were analyzed using medically certified 3D image-based engineering software. The material extrusion 3D-printed PEEK customized cranial implants displayed no statistically significant dimensional difference with steam sterilization (p > 0.05). Evaluation of the cranial implants’ accuracy revealed that the dimensions were within the clinically acceptable accuracy level with deviations under 1.00 mm. Steam sterilization does not significantly alter the dimensional accuracy of the in-house 3D-printed PEEK customized cranial implants.

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Medical 3D printing with a focus on Point-of-Care in Cranio- and Maxillofacial Surgery. A systematic review of literature

Cited by 18 publications

References 87 publications

Three-Dimensional Printing for Craniomaxillofacial Surgery: A Systematic Review and Meta-analysis of Applications and Logistical Outcomes

Three-Dimensional Printing for Craniomaxillofacial Surgery: A Systematic Review and Meta-analysis of Applications and Logistical Outcomes

Current Trends in the Reconstruction and Rehabilitation of Jaw following Ablative Surgery

Can Steam Sterilization Affect the Accuracy of Point-of-Care 3D Printed Polyetheretherketone (PEEK) Customized Cranial Implants? An Investigative Analysis

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